Displaying 230541-230550 of 1611142 results.
ID:
230541
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230542
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230543
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230544
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230545
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
230546
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
230547
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
230548
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
977939
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230549
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
977942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230550
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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